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Neuro Anaesthesia

About the Specialty

The Department of Neuro Anesthesiology at MGMCH uses some of the most advanced, safe, and patient-friendly processes in the delivery of anesthesia care.

Neuro Anesthesiology

The well-experienced and highly skilled team of anesthesiologists along with the state-of-the-art operation theatres of MGMCH, make it fully equipped to undertake the most complex of Neuro & Spine surgeries. With an intense focus on comprehensive peril-operative patient care extending from pre-operative optimization, and intra-op management to post-operative care, the team believes in extending quality patient care, not only in the operation theatres but beyond it by optimizing Pre-op patient status in its PAC clinics.

Specialty Clinics

Pain Clinic

A multidisciplinary approach to assess, diagnose, and plan personalized treatment is used by the pain management Clinic at MGMCH. These services are for both in-house patients as well as out-patients. Managed by the Department of Neuro Anesthesiology, this pain unit uses various methods such as nerve blocks, drug combinations, radiofrequency ablation stimulation, physiotherapy, and psychological counseling to manage pain. The team’s major focus is to find out the root cause of pain and how to bring about the speedy recovery of the patient.

Pre-Anesthesia Check-up (PAC)

PAC Clinics are available in every operation theatre. Patients, who are supposed to undergo surgical procedures are regularly screened by the experts at the PAC Clinic before surgery.

Core Competencies

Patient Care

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Medical Knowledge

Residents must demonstrate knowledge about established and evolving biomedical, clinical, and cognate sciences and the application of that knowledge to patient care.

Practice-Based Learning and Improvement

Residents must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.

Interpersonal and Communication Skills

Residents must demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients, their patients’ families, and professional associates.

Professionalism

Residents must clearly show a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

System-Based Practice

Residents must demonstrate an awareness of responsiveness to the larger context and system of healthcare and the ability to effectively call on system resources to provide care that is of optimal value.

Diagnostic and Clinical Services

  • Neuro Anesthesia and critical care services to Neuro Surgery.
  • Anesthesia services to CATH lab, Interventional radiology, MRI, CT scan, ECT, acute and chronic pain, resuscitation.
  • Emergency anesthesia management, code blue support squad, and critical lifesaving support to the whole hospital
emergency
emergency

Achievements

  • Good volume of cases –Performing maximum number of cases among private sector's institutes of Rajasthan
  • Among top Neuroanesthesia departments in North-India
  • Running DM course with two seats in neuroanesthesia each year
  • Various national and international publications
  • Conducting anesthesia management for variety of cases like:
    • Intracranial (tumor,trauma, ICH, Infract, hydrocephalus, congenital deformities, reconstructive surgeries etc.)
    • Spinal surgeries (Decompression, fixations, Kyphoscoliosis correction,Spinal dysraphism )
    • Vascular surgeries(Aneurysms,AVM, Carotid endarterectomy, moya moya etc.)
    • Endoscopic neurosurgeries
  • Handling advanced instruments like neuromonitoring (MEP, SSEP,TMG, Mapping), BIS, Fibre-optic, video laryngoscopes
  • Non-invasive and invasive cardiac output IABP and CVP monitors.
  • High end anesthesia workstation equipped with gas analyser and pulmonary dynamics monitoring
  • Faculty with vast clinical experience in the field.
  • Frequently using USG and fluoroscopy guided blocks e.g. scalp blocks and erector spinae blocks for postoperative analgesia.
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Treatment

At the Division of Neuro Anesthesiology of MGMCH, we invest our efforts, time, and expertise to detect and treat various types of Ailments.

  • Sepsis Sepsis arises when chemicals discharged into the circulation system to fight the disease trigger inflammatory responses. This aggravation can trigger a course of changes that can harm different organ systems and cause them to fail.
  • Multi-Organ Failure Multi-organ failure is usually caused due to Sepsis. It is also known as Total Organ Failure. Organ failure is the dysfunction of vital organs to such an extent that normal homeostasis cannot be maintained without external medical intervention.
  • Respiratory Failure Respiratory failure happens when fluid builds up in the air sacs of your lungs. Your lungs cannot discharge oxygen into your blood. Organs can’t get enough oxygen-rich blood to work. The conditions can be acute or chronic. Respiratory failure can lead to death if not treated quickly.
  • Acute Renal Failure Acute renal failure happens when your kidney loses the ability to eliminate excess salt from the blood. Salt concentration can rise to high levels when the kidney loses its filtering ability. Acute renal failure is also known as acute kidney failure.
  • Trauma Trauma mainly refers to any life-threatening physical injuries to the body. It can be caused due to an accident on the road or a deep fall, a violent criminal act, or a natural disaster. In addition to its physical impact, trauma is also emotionally distressing for the victims.
  • Post-Surgical Complications After a surgery is performed a patient needs close monitoring. Based on the type of surgery performed and medical history, patients may show post-surgical complications. These include shock, hemorrhage, wound infection, reaction to anesthesia, and many more.
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Procedures

General Anesthesia
  • General anesthesia is the state produced when a patient receives medication to produce amnesia and analgesia with or without reversible muscle paralysis.
  • An anesthetized patient can be thought of as being in a controlled, reversible state of unconsciousness.
  • Anesthesia enables a patient to tolerate surgical procedures that would otherwise inflict unbearable pain, potentiate extreme physiological exacerbations, and result in unpleasant memories.
Spinal Anesthesia
  • After proper aseptic precaution spinal needle (27 gauge) is inserted at l3-l4 space. After ensuring free flow of CSF local anesthetic is instilled in the subarachnoid space.
Central Line Insertion
  • Sites for an insertion-internal jugular vein in the neck
  • Subclavian vein
  • Femoral vein
Epidural Anesthesia
  • In this type of anesthesia, a local anesthetic drug is injected around the spinal cord in the epidural space.
Regional Anesthesia
  • The supraclavicular block is a regional anesthetic technique used as an alternative or in combination with general anesthesia for upper extremity surgeries.
Neuro Monitoring
  • Monitoring of Someto sensory and motor evoked potentials in Neuro Surgical patients.

Facilities

All Healthcare Solutions Under One Roof:-

  • Daycare Services
  • 24X7 Pharmacy
  • 24X7 Clinical Laboratory Services
  • 24X7 Ambulance
  • OPD procedure
  • Health Checkups

24X7 Radiology & Imaging Services

  • MRI Machine – Advanced 1.5 Tesla MRI
  • CT Scan – 16 Slice CT scan
  • Computerized Radiography (CR) System
  • Ultrasound
  • X-ray
  • Doppler Studies

24X7 Emergency & Critical Care Facilities

24 Hours Emergency & Level 1 Trauma Services with state of art emergency unit with a dedicated triage area trauma bay and cardiac emergency unit. Equipped with Ventilators, cardiac monitors, defibrillators, and other point-of-care testing equipment (POCT); Mobile X-ray unit, ABG, round-the-clock Radiology, pathology, and pharmacy.

  • Strict infection control policies and protocols.
  • Collaborative and comprehensive super specialists team comprising of Neuro, Cardio, Ortho, Nephron, Vascular, Plastic, Gastro, Urologist, critical care, and intensivists.

ICU, HDU, CCU, NICU/PICU

  • 13 fully equipped state-of-the-art intensive care beds with wall panels.
  • A qualified, experienced, and talented team of Neuro Anesthetists/ Intensivists for 24/7 services
  • Trained, Experienced, and caring nursing and technical staff.
  • Bedside X-ray, USG, ABG, infusion pumps, defibrillators, and dialysis points.

Five modular operation theaters

  • Pre anesthesia check up with risk stratification
  • Intraoperative anesthesia management of all neurosurgical cases with complex monitoring, under different positions (supine, prone, lateral, park bench, sitting etc).
  • Awake craniotomies
  • Intra-operative neuro-monitoring
  • Nerve blocks and multimodal analgesic techniques to counter post-operative pain
  • USG guided central line and arterial line placement
  • Immediate post-operative care and safe transportation to the ICU and wards
  • NORA- non operating room anesthesia in CT scan and MRI suits

Our Associated Doctors

Management Team
Dr. Sunita Sharma

Professor & HOD

Experience27 years

QualificationMBBS, MD Anaesthesiology

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Management Team
Dr. Ravindra Singh Sisodia

Associate Professor

Experience21 years

QualificationMBBS, MD, Post doctoral Fellow Sr. Consultant

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Management Team
Dr. Atibhi Goel

Assistant Professor

Experience08 years

QualificationMBBS, MD (Anaesthesia), PDF (Neuroanesthesia)

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Management Team
Dr. Nisha Sharma

Assistant Professor

Experience14 years

QualificationMBBS, DNB Anaesthesia

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FAQs

Emphasis will be more on efficient monitoring. They will have a major role to play in the diagnostic procedures, not only providing anaesthetic services for these procedures, but also providing monitoring and resuscitative services during these procedures.

  • Prevent Cerebral Ischemia by adequate Perfusion of Brain.
  • Maintain stable intracranial dynamics.
  • Maintain Substrate Supply.
  • Provision of Relaxed Brain (Chemical Retraction).
  • Provision of Absolute Immobility, Good Depth of Anaesthesia.

As a general principle, the patient's blood pressure should be reduced to 20-25% below the baseline value, and prophylaxis to blunt the hypertensive response to laryngoscopy and intubation should be instituted before tracheal intubation is attempted.

Neuroanesthesia is a subspecialty area of anesthesia that deals with the complex relationships of anesthetic medications, neurosurgical procedures, and the critical care issues that surround the management of these patients.

A physician specialized in anesthesiology is called an anesthesiologist, anaesthesiologist, or anaesthetist, depending on the country. In some countries, the terms are synonymous, while in other countries, they refer to different positions and anesthetist is only used for non-physicians, such as nurse anesthetists.

As an anaesthetist, you'll assess patients' health and discuss which type of anaesthetic is suitable for them (general, local or regional), administer appropriate anaesthetics before surgery, monitor their wellbeing during surgery and provide care after medical procedures. You'll also deal with emergencies in theatre.

Anaesthetists are specialist doctors who are responsible for providing anaesthesia to patients for operations and procedures. In addition, anaesthetists have a range of practice which extends beyond anaesthesia for surgery to include pain management and intensive care.

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